Individual provider Active NPI

Sherry A Aucoin, NP

  • Family Nurse Practitioner
  • Edgard, LA
National Provider Identifier
1023193364
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05043 Issued in LA
Practice address
2555 Highway 18
Edgard, LA 70049-2417
Phone
(985) 267-1093
NPI assigned
Oct 26, 2006
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171174 VA
Family Nurse Practitioner 363LF0000X RN1031429 DC
Family Nurse Practitioner 363LF0000X AP05043 LA Primary

Addresses

Primary practice location

2555 Highway 18
Edgard, LA 70049-2417

Mailing address

PO Box 1319
Lorton, VA 22199-1319
Phone (727) 452-1871

Other practice location 1

843 Milling Ave
Luling, LA 70070-4442
Phone (853) 071-6009

Other identifiers 1

IdentifierTypeStateIssuer
1001325MedicaidLA

Other names 1

  • Sherry Gregory Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070109000058 LA Practitioner - Nurse Practitioner 6103826565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1031429DCMDFamily Nurse Practitioner
AP05043LAMDFamily Nurse Practitioner
0024171174VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 26, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 26, 2018 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Take Care Health Services PA Family PastSince Nov 3, 2008 Accepting new patients

Locations

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: sherry.aucoin.1@14940.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1023193364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1319",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "221991319",
            "telephone_number": "727-452-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 HIGHWAY 18",
            "city": "EDGARD",
            "state": "LA",
            "postal_code": "700492417",
            "telephone_number": "985-267-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "843 Milling Ave",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "700704442",
            "country_code": "US",
            "telephone_number": "853-071-6009",
            "fax_number": "500-457-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUCOIN",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1031429",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001325",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "GREGORY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edgard, LA

Sources for this page

Verify at the official NPI Registry.